North Macomb Medical Associates Pllc | |
66707 Gratiot Ave Lenox MI 48050-2019 | |
(586) 727-5840 | |
(586) 727-5897 |
Full Name | North Macomb Medical Associates Pllc |
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Speciality | Family Medicine |
Location | 66707 Gratiot Ave, Lenox, Michigan |
Authorized Official Name and Position | Christopher J Frocillo (OWNER) |
Authorized Official Contact | 5867275840 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Macomb Medical Associates Pllc 66707 Gratiot Ave Lenox MI 48050-2019 Ph: (586) 727-5840 | North Macomb Medical Associates Pllc 66707 Gratiot Ave Lenox MI 48050-2019 Ph: (586) 727-5840 |
NPI Number | 1225103047 |
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Provider Enumeration Date | 11/21/2006 |
Last Update Date | 03/19/2012 |
Medicare PECOS PAC ID | 0648175133 |
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Medicare Enrollment ID | O20031208000165 |
Identifier | Type | State | Issuer |
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1225103047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101013229 (Michigan) | Primary |
Provider Name | Heather Marie Plumer Haun |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174523401 PECOS PAC ID: 0345218582 Enrollment ID: I20040924000189 |
Provider Name | Robert K Mccowan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053380402 PECOS PAC ID: 6507865839 Enrollment ID: I20061213000424 |
Provider Name | Jude L Stratford |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437125473 PECOS PAC ID: 6103966205 Enrollment ID: I20091222000220 |
Provider Name | Christopher J Frocillo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518967835 PECOS PAC ID: 7719883206 Enrollment ID: I20120321000446 |
Provider Name | Emi Bulica |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093371791 PECOS PAC ID: 7810222049 Enrollment ID: I20220701002508 |